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Digitally signed by Francine R. <br />Francine R. Villareal Villareal <br />Date: 2021.05.21 1131:24-07r <br />A <br />c O® CERTIFICATE OF LIABILITY INSURANCE <br />MM <br />DATE(192021 YYI <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER, THIS <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. <br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on <br />this certificate does not confer rights to the certificate holder in lieu of such endersement(s). <br />PRODUCER <br />LovNAME: <br />t Marsh and McLennan Agency, LLC <br />1050 W Washington Street, Suite 233 <br />1050 & ToucWashington <br />Tempe AZ 85281 <br />CONTACT <br />Kolb Kearney <br />PHONE .602-792-2306 ac No,602-956-2258 <br />E-MAIL <br />ADDREs3: kkearne lovitt-touche.com <br />INSURERS AFFORDING COVERAGE <br />NAICN <br />INSURER A: Houston Casualty Company <br />55555 <br />INSURED NATIHOU-Cl <br />NE IDS House <br />INSURER B : <br />Neutral Ground <br />INSURERC: <br />INSURERD: <br />1733 Valencia $t <br />Santa Ana CA 92706 <br />NSU RER E: <br />NSURERF: <br />COVERAGES CERTIFICATE NUMBER: 982983375 REVISION NUMBER: <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR <br />LTR <br />TYPE OF INSURANCE <br />ADOL <br />SUBR <br />POLICY NUMBER <br />POLICY EFF <br />MMIDDIYYYY <br />POLICY EXP <br />MMIDD/VYYY <br />LIMITS <br />A <br />X <br />COMMERCIAL GENERAL LIABILITY <br />H21SS2007100 <br />1/612021 <br />1/6/2022 <br />EACH OCCURRENCE <br />$1,000,000 <br />CLAIMS -MADE 171 OCCUR <br />DAMAGE TO RE TED <br />PREMISES Ea occurrence <br />$50,000 <br />X <br />MED EXP (Any oneperson) <br />$ 5,000 <br />1.000 <br />PERSONAL &ADV INJURY <br />$1,000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />POLICY PRO- � <br />ECT LOC <br />GENERALAGGREGATE <br />$3,000,000 <br />PRODUCTS-COMP/OPAGG <br />$1,000,000 <br />$ <br />OTHER: <br />A <br />LIABILITY <br />H21SS2007100 <br />116/2021 <br />1/6/2022 <br />COMBINED SINGLE LIMIT <br />En accident <br />$1,000,000 <br />BODILY INJURY(Per person) <br />$ <br />ANY AUTO <br />POMOBILE <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />BODILY INJURY (Per accident) <br />$ <br />HIRED X NON -OWNED <br />AUTOS ONLY AUTOS ONLY <br />PROPERTY DAMAGE <br />Per accldent <br />$ <br />UMBRELLALIAB <br />OCCUR <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />EXCESS LIAB <br />CLAIMS -MADE <br />DED RETENTION$ <br />$ <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY YIN <br />PER OTH- <br />STATUTE I ER <br />E.L. EACH ACCIDENT <br />$ <br />OFF CERIMEM EREXCLUDED9ANYPROPRIETORIPARTNEWEXECUTIVE El <br />E.L. DISEASE - EA EMPLOYEE <br />$ <br />(Mandatory In NH) <br />If yea, descdbe under <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE -POLICY LIMIT <br />$ <br />A <br />Professional Liability <br />H21SS2007100 <br />1/6/2021 <br />1/6/2022 <br />Each Claim <br />1,000,000 <br />SexuallPhysical Abuse <br />Pro(Aggregate <br />SAML Aggregate <br />3, 000,D00 <br />1,000,D00 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached it more space Is required) <br />Certificate holder is named Additional Insured to General Liability coverage if required by written contract, subject to all policy terms, conditions, definitions and <br />exclusions. Primary/Non-Contributory applies. Notice of Cancellation for Specified Entity, City of Santa Ana. <br />"City of Santa Ana, officers, agents, employees, and volunteers are named as additionally insured on this policy pursuant to written contract, agreement, or <br />memorandum of understanding. Such insurance as Is afforded by this policy shall be primary, and any insurance carried by City shall be excess and <br />noncontributory." <br />The City of Santa Ana <br />Risk Management Division <br />20 Civic Center Plaza <br />Santa Ana CA 92701 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTHORIZED REPRESENTATIVE <br />06W <br />©1988.2015 ACORD C <br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD <br />ki RlelrMartagammtDivision <br />:fi€ 2 REVIEWED&APPROVEDBY: <br />�i11. V' <br />®' Rnk Management. Analyst <br />